Individual
SHANNON N MAKAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13251 REECE BERGERON RD, BILOXI, MS 39532-7557
(228) 967-7718
Mailing address
13315 RIVER RAPID DR, DIBERVILLE, MS 39540-8817
(251) 509-4256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R890002
MS
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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